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Senior Compliance Auditor @VCUHSA VCU Health System Authority

[Hiring] Senior Compliance Auditor @VCUHSA VCU Health System Authority

Mar 26, 2025 - VCUHSA VCU Health System Authority is hiring a remote Senior Compliance Auditor. đź’¸ Salary: unspecified. đź“ŤLocation: USA.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The Senior Compliance Auditor reviews complex audits, performs quality assurance reviews, acts as a peer mentor, and assists management with onboarding process of new auditors. The Senior Compliance Auditor supports the audit manager with the development and maintenance of the quarterly audit work plan and audit workflow processes. The Senior Compliance Auditor recommends changes to improve business operations by using professional judgement and knowledge of best practices. This position contributes to special projects, as applicable.

  • Perform documentation/chart audits on inpatient and outpatient records
  • Provide analysis of the records (provider and facility) reviewed
  • Educate and assist as needed
  • Audit VCUHS coding and billing (DRG, CPT, ICD 10) based on a review of medical record documentation and/or billing claim data

Qualifications

  • Minimum of five (5) years of progressively responsible experience in a healthcare environment
  • Experience working with electronic health records to analyze and interpret clinical documentation for compliance purposes
  • Experience auditing and investigating medical records for compliance
  • Understanding and identifying diagnostic and procedural codes for clinical services rendered
  • Previous experience with personal computers and software applications including Microsoft Word, Excel, PowerPoint, and data collection tools
  • Previous analytical experience

Requirements

  • Licensure, Certification, or Registration Requirements for Hire: One (1) of the following current AAPC certifications:
    • Certified Professional Coder (CPC)
    • Certified Professional Coder–Hospital (CPC–H)
    • Certified Professional Coder–Payer (CPC-P)
    • CPMA Certified Professional Medical Auditor (CPMA)
  • OR One (1) of the following current AHIMA certifications:
    • Certified Coding Associate (CCA)
    • Certified Coding Specialist (CCS)
    • Certified Coding Specialist–Physician Based (CCS-P)
  • OR Other current coding related certification

Company Description

Inventing better care, day by day by discovery. We are a comprehensive system of care and a pioneer of health.

  • One college and four health sciences schools
  • An academic medical center
  • A Level I trauma center
  • One of only two NCI-designated cancer centers in Virginia
  • The region’s only full-service children’s hospital
  • More than 800 physicians in 200 specialties

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Senior Compliance Auditor @VCUHSA VCU Health System Authority
All others
Salary đź’¸ unspecified
Remote Location
USA
Job Type full-time
Posted Mar 26, 2025
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️
đź“Ť Be aware of the location restriction for this remote position: USA
‼ Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.
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